Grewal, Gagandeep Singh

Grewal, Gagandeep Singh is an individual health care provider with primary practice located at 5001 Hardy St , Hattiesburg MS 39402-1308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grewal, Gagandeep Singh can be contacted via phone (601) 296-2090.

Contact Information

Primary practice address
5001 Hardy St Hattiesburg MS 39402-1308
Phone: (601) 296-2090
Fax: (601) 296-2089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10170 Mississippi
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23236 Mississippi

Profile Details

NPI number 1114214038
LBN Legal business name Grewal, Gagandeep Singh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2011
Last updated Oct 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114214038 NPPES
Mississippi MEDICAID 01888564

Popular Providers